lifesavers parent focused interventions intro · 2016-03-22 · " parents’ role in teaching,...
TRANSCRIPT
3/21/16
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Implementing Effective Parent-Involved Teen Driving Programs
Moderated by:
Suzanne Hill Director, Outreach & Advocacy [email protected] Center for Injury Research & Prevention at The Children’s Hospital of Philadelphia
AIMS FOR TODAY’S WORKSHOP • Learn what program elements are essential
to be effective at supporting parents efforts to decrease teen crash risk • “Effectiveness of Parent-Focused Interventions to
Increase Teen Driver Safety: A Critical Review” (Curry et al. J of Adolescent Health, 2015)
• Learn ways to find and engage parents of teens • Check Points (Michigan) • Trauma Nurses Talk Tough (Oregon)
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REASONS TEENS CRASH
• Lack experience 95% of teen crashes
due to ERROR • May take risks
Healthy experimentationà
impulsive choices in MVà severe outcomes
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WHEN TO INTERVENE
Time zero X
X
GRADUATED DRIVER LICENSING Reduces Crash Risk by up to 40%
Learner Supervised driving
Intermediate Solo driving
Full Stage Unrestricted driving
16 years Pass knowledge test; 12 mos. Holding period >50 hours Decal
17 years Pass on road test; 12 mos. holding period Restrictions < 1 teen passenger No driving 9/10 pm – 5 am No Technology Decal
18 years Pass enhanced on road test Clean driving record
Source: TIRF and National Safety Council, 2014
WHY PARENTS MATTER
• 87% of teens report parents involved in teaching them to drive • 40% only have parents teaching them to drive
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• Involved parents that set rules and monitor can lower teen crash risk by half • 2xs as likely to wear belts • 70% less likely to drink & drive • Half as likely to speed • Less likely to drive with multiple passengers
Source: Ginsburg et al. Pediatrics. 2009
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Critical Review Criteria:
• Programs that target parents’ cognitions, behaviors and skills
• Impact evaluation published • 15 programs met criteria • Categorized:
• passively disseminated media, no or minimal parent engagement
• disseminated media & direct parent engagement
• used an in-vehicle data recorder
7 | Curry et al. J Adol Health. 2015
EFFECTIVENESS OF PARENT PROGRAMS
PRACTICAL ADVICE? NEED TO FIND YOUR SWEET SPOT
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Passive Dissemination
Scalable
No effect
Direct Parent Engagement
Effective
Adds costs, reduced
scalability
Used IVDR Systems
Immediate feedback to
teens, objective data for parents
Not Actionable for Parents-
what to do with data?
Curry et al. J Adol Health. 2015
CHALLENGES TO ENGAGING PARENTS 1. Parents don’t recognize risks 2. Not familiar with GDL or see it
as a maximum guideline 3. Parents don’t have time 4. Believe that their teen is good
safe driver 5. Parents not best role models/
don’t want to be told how to parent
6. Hard to access parents of teenagers
9 | GHSA Report.“Promoting Parent Involvement”. 2013
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KEY CONCEPTS TO CONVEY TO PARENTS
1. Inexperience & adolescence
2. Key risk factors for crashing
3. GDL as a tool for parents 4. Parenting style matters 5. Supervised driving practice
is key
10 | GHSA Report.“Promoting Parent Involvement”. 2013
ELEMENTS OF A GOOD PARENT PROGRAM • Discusses risks for teen
drivers • Explains and encourages • Employs a theory-based
program model & ongoing evaluation
• Delivered by trained, educated facilitators
11 | GHSA Report. “Promoting Parent Involvement”. 2013
ELEMENTS OF A GOOD PARENT PROGRAM • Discusses risks for teen
drivers • Explains and encourages • Employs a theory-based
program model & ongoing evaluation
• Delivered by trained, educated facilitators
12 | GHSA Report. “Promoting Parent Involvement”. 2013
ü How and why GDL works
ü Parents’ role in teaching, supporting, managing their novice drivers
ü Communicating on rules, expectations, consequences
ü Parent and teens working together for safety
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GENERAL CHARACTERISTICS OF EFFECTIVE INTERVENTIONS
Conceptualized with underlying theory, logic model • Intervention targets are related to key behaviors, feasible to
change via intervention, have room to change
Direct and ongoing parent engagement • Light human touch, facilitation
Target parent–teen dyad • Support the relationship
Provides concrete tools • e.g., weekly report cards, logging/rating tools, contract
Curry et al. J Adol Health. 2015
TODAY’S PRESENTERS Trauma Nurses Talk Tough Program Legacy Emanuel Hospital, Portland OR Joanne Fairchild, RN Cathy Bowles, TNNT Family Education Coordinator CheckPoints Program Jean T. Shope, BSN, MSPH, P.E. Research Professor Emerita University of Michigan Transportation Research Institute and School of Public
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